Tocilizumab Real-Life Human Factors (RLHFs) Validation Study
1 other identifier
interventional
91
1 country
8
Brief Summary
This study is designed to evaluate RLHFs concerning administration of the tocilizumab autoinjector AI-1000 G2 in adults with rheumatoid arthritis (RA) who have been receiving subcutaneous (SC) tocilizumab using the commercially available prefilled syringe and needle safety device (PFS-NSD). The study will enroll participants with RA, a subset of whom will be assigned to perform self-injection with the AI-1000 G2. Enrolled caregivers (CGs) and healthcare professionals (HCPs) will administer the AI-1000 G2 injection to the remaining study participants.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4 rheumatoid-arthritis
Started Mar 2016
Shorter than P25 for phase_4 rheumatoid-arthritis
8 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 11, 2016
CompletedFirst Posted
Study publicly available on registry
February 15, 2016
CompletedStudy Start
First participant enrolled
March 21, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 29, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
July 29, 2016
CompletedResults Posted
Study results publicly available
April 19, 2019
CompletedApril 19, 2019
January 1, 2019
4 months
February 11, 2016
January 22, 2019
January 22, 2019
Conditions
Outcome Measures
Primary Outcomes (2)
Percentage of Participants Who Successfully Performed Safety-Critical and Essential Tasks During First Unassisted Use
Safety-critical tasks included those tasks where errors would have a reasonably foreseeable potential for clinical impact/harm, potentially resulting in direct physical injury to the user and/or conditions that require medical intervention. Safety-critical tasks included the following: release activation button; check the expiry date; inspect device prior to use; and inspect medication prior to use. Essential tasks included those essential to the execution of the injection. Essential tasks included the following: open the carton, remove the device and associated documents; remove cap; start an injection by depressing the needle-shield at the injection site and pressing the activation button; and hold the autoinjector until the complete dose has been delivered. The percentage of participants who successfully performed safety-critical and essential tasks during the first unassisted use (Day 14) was reported.
Day 14
Percentage of Participants Who Successfully Performed Safety-Critical and Essential Tasks During Second Unassisted Use
Safety-critical tasks included those tasks where errors would have a reasonably foreseeable potential for clinical impact/harm, potentially resulting in direct physical injury to the user and/or conditions that require medical intervention. Safety-critical tasks included the following: release activation button; check the expiry date; inspect device prior to use; and inspect medication prior to use. Essential tasks included those essential to the execution of the injection. Essential tasks included the following: open the carton, remove the device and associated documents; remove cap; start an injection by depressing the needle-shield at the injection site and pressing the activation button; and hold the autoinjector until the complete dose has been delivered. The percentage of participants who successfully performed safety-critical and essential tasks during the second unassisted use (Day 28) was reported.
Day 28
Secondary Outcomes (7)
Percentage of Participants Who Successfully Performed Ancillary Tasks During First and Second Unassisted Use
Days 14, 28
Visual Analog Scale (VAS) Score for Injection Pain Among Participants With RA
0 and 15 minutes after injection on Days 0, 14, 28
Percentage of Participants by Response to Categorical Scale of Injection Pain Among Participants With RA
0 and 15 minutes after injection on Days 0, 14, 28
Percentage of Participants by Response to Device Satisfaction Questionnaire
Days 0, 14, 28
Tender Joint Count (TJC) Among Participants With RA
Baseline (Day 0)
- +2 more secondary outcomes
Study Arms (5)
Caregivers
EXPERIMENTALCGs will perform injection of SC tocilizumab to a subset of participants with RA using the AI-1000 G2 device. Visit 1 (Day 0) will be conducted for administration training, while Visits 2 and 3 (Days 14 and 28) will be conducted for use/performance evaluation.
Healthcare Professionals
EXPERIMENTALHCPs will perform injection of SC tocilizumab to a subset of participants with RA using the AI-1000 G2 device. Because enrolled HCPs are to be professionally qualified to deliver SC injections, no administration training will be provided. Visits 2 and 3 (Days 14 and 28) will be conducted for use/performance evaluation.
RA Group 1 (Self-Administration)
EXPERIMENTALParticipants with RA will perform self-injection of SC tocilizumab with the AI-1000 G2 device. Visit 1 (Day 0) will be conducted for administration training, while Visits 2 and 3 (Days 14 and 28) will be conducted for use/performance evaluation.
RA Group 2 (Administration by CG)
OTHERCGs will perform injection of SC tocilizumab to participants with RA using the AI-1000 G2 device. Visit 1 (Day 0) will be conducted for administration training, while Visits 2 and 3 (Days 14 and 28) will be conducted for use/performance evaluation.
RA Group 3 (Administration by HCP)
OTHERHCPs will perform injection of SC tocilizumab to participants with RA using the AI-1000 G2 device. Because enrolled HCPs are to be professionally qualified to deliver SC injections, no administration training will be provided. Visit 1 (Day 0) will be performed by the study nurse. Visits 2 and 3 (Days 14 and 28) will be conducted by the HCP for use/performance evaluation.
Interventions
Tocilizumab will be administered using the AI-1000 G2.
Participants will receive three doses of SC tocilizumab using the AI-1000 G2 device at Visits 1, 2, and 3 (Days 0, 14, and 28). The dose will remain at 162 milligrams (mg) unless changes are required per protocol for safety or efficacy reasons.
Eligibility Criteria
You may qualify if:
- Participants with RA for greater than or equal to (\>/=6) months receiving 162 mg tocilizumab PFS-NSD for \>/=8 weeks and who are suitable for continued treatment at their currently prescribed dose
- CGs and professionally qualified HCPs who are able and willing to administer the injection
You may not qualify if:
- RA: Functional status Class IV
- RA: Neuropathies or other conditions that might interfere with pain evaluation
- RA: Pregnant or breastfeeding
- RA: Low neutrophil or platelet count at last laboratory assessment
- RA: Elevated liver enzymes at last laboratory assessment
- Current participation in another interventional clinical trial
- Criteria that might give the participant/CG/HCP an advantage in injection tasks such as employment in the pharmaceutical industry, etc.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (8)
Arizona Arthritis and Rheuma
Mesa, Arizona, 85202, United States
Valerius Medical Group & Research Ctr of Greater Long Beach
Los Alamitos, California, 90720, United States
Pacific Arthritis Ctr Med Grp
Santa Maria, California, 93454, United States
Bluegrass Comm Research, Inc.
Lexington, Kentucky, 40515, United States
Oklahoma Center For Arthritis Therapy & Research
Tulsa, Oklahoma, 74104, United States
Altoona Center For Clinical Research
Duncansville, Pennsylvania, 16635, United States
Advanced Rheumatology & Arthritis Research Center
Wexford, Pennsylvania, 15090, United States
Metroplex Clinical Research
Dallas, Texas, 75231, United States
Related Publications (1)
Fettner S, Mela C, Wildenhahn F, Tavanti M, Wells C, Douglass W, Mallalieu NL. Evidence of bioequivalence and positive patient user handling of a tocilizumab autoinjector. Expert Opin Drug Deliv. 2019 May;16(5):551-561. doi: 10.1080/17425247.2019.1604678. Epub 2019 May 2.
PMID: 31043095DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Medical Communications
- Organization
- Hoffmann-La Roche
Study Officials
- STUDY DIRECTOR
Clinical Trials
Hoffmann-La Roche
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- DEVICE FEASIBILITY
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 11, 2016
First Posted
February 15, 2016
Study Start
March 21, 2016
Primary Completion
July 29, 2016
Study Completion
July 29, 2016
Last Updated
April 19, 2019
Results First Posted
April 19, 2019
Record last verified: 2019-01